| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $38.02 | $45.71 | |
BCBS
| Facility | $100.00 | $257.04 | $446.68 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Medcost
| Facility | $30.90 | $38.02 | $48.98 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $30.90 | $40.74 | $56.23 |